Kijsanayotin Boonchai
Health Systems Research Institute, Ministry of Public Health, Thailand.
Stud Health Technol Inform. 2013;192:989.
Thailand achieved universal healthcare coverage with the implementation of the Universal Coverage Scheme (UCS) in 2001. This study employed qualitative method to explore the impact of the UCS on the country's health information systems (HIS) and health information technology (HIT) development. The results show that health insurance beneficiary registration system helps improve providers' service workflow and country vital statistics. Implementation of casemix financing tool, Thai Diagnosis-Related Groups, has stimulated health providers' HIS and HIT capacity building, data and medical record quality and the adoption of national administrative data standards. The system called "Disease Management Information Systems" aiming at reimbursement for select diseases increased the fragmentation of HIS and increase burden on data management to providers. The financial incentive of outpatient data quality improvement project enhance providers' HIS and HIT investment and also induce data fraudulence tendency. Implementation of UCS has largely brought favorable impact on the country HIS and HIT development. However, the unfavorable effects are also evident.
泰国于2001年实施全民覆盖计划（UCS），实现了全民医保覆盖。本研究采用定性方法，探讨全民覆盖计划对该国卫生信息系统（HIS）和卫生信息技术（HIT）发展的影响。结果表明，健康保险受益人登记系统有助于改善医疗服务提供者的服务流程和国家人口动态统计。病例组合融资工具“泰国诊断相关组”的实施，促进了医疗服务提供者的卫生信息系统和卫生信息技术能力建设、数据及病历质量以及国家行政数据标准的采用。旨在为特定疾病报销的“疾病管理信息系统”，增加了卫生信息系统的碎片化程度，并加重了医疗服务提供者的数据管理负担。门诊数据质量改善项目的经济激励措施，增强了医疗服务提供者对卫生信息系统和卫生信息技术的投入，但也引发了数据欺诈倾向。全民覆盖计划的实施在很大程度上对该国卫生信息系统和卫生信息技术的发展产生了积极影响。然而，负面影响也很明显。
